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Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.

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Showing 151 to 160 of 515 results
Transmittal Number: MA-22-0017
State: Massachusetts
Summary: Effective June 1, 2022 this amendment proposes to update transportation language to remove chair cars from non-broker pages.
Approval Date:
Effective Date:
Topics:
  • Transportation
Links:
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Transmittal Number: MA-21-0044
State: Massachusetts
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to revise the payment method for Chronic Disease and Rehabilitation hospitals effective.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: MA-22-0012
State: Massachusetts
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to provide temporary rate increases for providers (Adult day health, day habilitation, adult foster care, children's behavioral health initiative, private duty nursing (continuous skilled nursing), durable medical equipment, home health, personal care attendants) in accordance with Massachusetts' approved Initial Spending Plan for home and community based services under the American Rescue Plan Act of 2021.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
  • Home and community based services
Links:
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Transmittal Number: MA-21-0036
State: Massachusetts
Summary: This amendment continues the rate year 2021 reimbursement methods and standards for acute and critical access

inpatient hospital services for one month, and effective November 1, 2021, establishes comprehensive changes for the duration of rate year 2022.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-21-0038
State: Massachusetts
Summary: amends rate year ((RY) 2022 updates to reimbursement methods and standards for privately-owned psychiatric hospitals, and administrative updates only for substance abuse treatment hospitals.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: TN-22-0005
State: Tennessee
Summary: Tennessee is submitting this SPA to transfer responsibilities for surveying healthcare facilities in Tennessee from the Department of Health to the Health Facilities Commission (HFC).
Approval Date:
Effective Date:
Topics:
  • Health Services Initiatives
Links:
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Transmittal Number: MA-22-0004
State: Massachusetts
Summary: Effective January 21, 2022 this amendment proposes to add coverage for acupuncture services.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: MA-22-0009
State: Massachusetts
Summary: to update the Standard Alternative Benefit Plan (ABP) to add clarifying Acupuncture & Urgent Care Clinics language.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: MA-22-0010
State: Massachusetts
Summary: to update the CarePlus Alternative Benefit Plan (ABP) to add clarifying Acupuncture & Urgent Care Clinics language.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
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Transmittal Number: MA-22-0003
State: Massachusetts
Summary: revises nursing facility 2022 rate year reimbursement methods to establish new rate add-ons, amend existing rate add-ons, and further update certain COVID-19 related payments. The proposed amendment also includes reimbursement methodology to distribute state legislative appropriation in the amount of $25 million for workforce retention and recruitment initiatives.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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